Reprint permission for illustrations and photos is. Arthroscopic labral repair protocoltype ii, iv, and complex tears. For 4 weeks, worn at all times unless performing hep bicep. Surgical intervention may involve debridement or repair. Protective phase day 1 to week 6 weeks 02 shoulder sling x 6 weeks sleep in sling x 3 weeks shoulder, elbow, and hand rom no resisted active isolated biceps activity elbow. Posterior labral repair protocol weeks 12 objective is to protect healing capsule, allow early, graded, protected motion, prevent stiffness, minimize atrophy, and control pain and inflammation wear sling during the day for 34 weeks sleep in your sling for 34 weeks monitor neurovascular status. Labral fraying is also part of the normal aging process. General information there may be a loss of external rotation when compared to the other side, but the motion is.
The humeral head rests in a shallow socket on the scapula called the glenoid. Appendix c survey procedures and interpretive guidelines for laboratories and laboratory services. Surgical repair of the pectoralis major tendon rupture has been shown to provide superior outcomes regarding strength return. Ders designated employer representatives are required to be onsite during the collection process and will need to assist with the following. Patient will return to see both physician and therapist at 4. Lapb sessions can be established by either the dte or dce. Work with district liaison to schedule school visits. Slap lesions, or tears of the labrum superior labrum, anterior. Pec major repair protocol is a rehabilitation protocol to provide patient with the guidelines following a pectoralis major tendon surgery. Slap superior labrum, anterior and posterior is a lesion that begins posterior in the labrum and extends anteriorly, involving the anchor of the long head of the biceps brachii to the labrum. Immediately postoperatively, exercises must be modified so as not to place unnecessary stress on. Summary table post op phasegoals range of motion therapeutic exercise precautions phase i 0 4 weeks after surgery goals.
It has been included for training and example purposes only. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic labral repair. A slap tear can be caused by an acute injury such as a fall onto an outstretched arm, a shoulder dislocation or a motor vehicle accident or it may be due to repetitive overhead activities.
The procedure is usually performed arthroscopically and is, in most cases an outpatient day surgery procedure. Slap lesion type ii repair rehabilitation program gundersen. Weeks 0 6 restrictions no active range of motion exercises before 6 weeks. Jan 02, 2019 for anyone interested in the infracap mlp etf amza please find historical financial statements and portfolio tracking data below. Contact dr kevin murphy at 9046340640 to know more. It is no means intended to be a substitute for ones. The special courtesy tickets and special event tickets will then be available for collection from the office of the protocol and liaison service in room s0200 one day prior to the address of the head of.
Phenolsulfuric acid mannose detection assay jason fan november 9, 2015 bowdish lab, mcmaster university hamilton, on, canada. Arthroscopic labrum repair of the shoulder slap anatomy. Rotator cuff repair protocol boston shoulder institute. It also may include repeated psychological abuse, sexual assault, progressive social isolation, deprivation, intimidation, or economic coercion.
Protocol manual, d protocol march 2, 1999 pelco d protocol page 6 of 8 c reating l abels many devices have the ability to display labels on the video. Timeframes for active and resisted biceps activity will vary depending on the extent of bicipital involvement. Slap lesion repair protocol northeast orthopedics and. Maintain integrity of repair gradual return of promaarom increase shoulder strength while respecting repair. Pectoralis major repair rehabilitation protocol phase 1. May discontinue pillow and use sling as needed range of motion.
Protocol for the fact of having been the object of conduct set forth in article 6 of this protocol. Rehabilitation guidelines for slap lesion repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee. This protocol provides you with general guidelines for the postoperative rehabilitation of the patient following an arthroscopic slap repair. Acute hamstring injuries in swedish elite football. Obtain pain free passive and active rom with appropriate mechanics.
Isolated slap repair rehabilitation protocol this protocol was developed for patients who have had an isolated slap repair. While the postop dressing is in place, icing should be done continuously. Avoid heavy pushing, pulling or lifting directions for physical therapist. Apr 03, 2017 when we receive a script from a surgeon to treat a slap repair he or she is more than likely talking about a type ii slap and surgery to reattach the labrum and biceps anchor.
Northern protocol computers in barrie ontario canada is awesome computer repair facility and much better than staples or some huge chain place like that where you are just a number. Less assertive therapy produces improved motion, strength, patient satisfaction, and functional outcomes. Regardless of whether the action is labeled a suspension, the unapproved animal activity still constitutes serious noncompliance with the phs policy iv. Physical therapy protocol shoulder anteriorposterior labral repair, slap repair, capsulorrhaphy patient name.
Because the head of the humerus much larger than the. Labral repairs are limited by the inherent limitation of softtissue healing to bone. Sling immobilization at all times except for showering and rehab under guidance of pt. To repair the damaged origin of the long head of biceps tendon slap tear to repair the damaged origin of the long head of biceps tendon slap tear protocol. This laboratory protocol or part thereof has been provided. Each phase is adaptable based on the individual and special circumstances. Npi is very personable and look at everyones computer issue the same i feel no matter if single person or huge corporation. Lapb is used to manage communication and packet framing between data terminal equipment dte and the data circuitterminating equipment dce devices in the x. Lapb is essentially hdlc in asynchronous balanced mode abm. Each state party shall adopt such legislative and other measures as may be necessary to establish as criminal offences, when committed intentionally and in order to obtain, directly or indirectly, a. This injury is being seen more regularly due to the increased emphasis on healthy lifestyles. During scheduling session provide copies andor identify web access for all relevant documents guiding the visits.
Your shoulder is the most mobile joint in your body and is therefore dependent on strong muscles, ligaments and a rim of. This protocol is designed to serve as a patient guide to rehabilitation following a slap repair procedure. The following is a guideline for progression of postoperative treatment. Test lab procedural manual tcxxxxxxxx initial release samtec, inc. The usda inspector was doing what usda inspectors do best. It is extremely important to protect the bicepslabral complex for 6 weeks postoperatively to allow appropriate healing. This is because the articular surface of the round humeral head is approximately four times greater than that of the relatively flat shoulder blade face glenoid fossa1 figure 1. Early passive range of motion is highly beneficial to enhance circulation within the joint to promote healing. Slap repair therapy protocol 2 of 4 the cryo unit or gel ice packs should be used during this phase to control pain and swelling clinical followup. Sling use your sling most of the time for the first 2 weeks. Postoperative protocols in this procedure, the superior labrum and biceps anchor is reattached to the superior glenoid or upper humerus. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making.
Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Rehabilitation is similar to that for type ii repair except for biceps activity. Slap tear can happen traumatically or in response to repetitive activity like throwing. Superior labrum anterior posterior slap repair type i. The glsm slap type ii repair rehabilitation program is an evidencebased and soft tissue healing dependent program allowing patients to progress to. Interval throwing program for little league age athletes. Rehabilitation after arthroscopic labrum repair of the shoulder slap phase one. Notify the employee, advising himher to report to midwest toxicologys. Patients with additional surgery will progress at different rates.
It is extremely important to protect the bicepslabral complex for 6 weeks postoperatively to allow appropriate. Arthroscopic debridement of type i and iii slap lesions protocol the intent of this protocol is to provide the clinician with a guideline of the postoperative. Patient will be released from the hospital the same day as surgery. Postoperative instructions shoulder arthroscopy and slap.
The intent of posting these standards of care and protocols is to provide clinicians and patients. Slap repair therapy protocol 5 of 4 clinical followup. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket. The protocol provides useful guidance on how to deal with extensions of time and associated compensation for additional time and resource costs.
Essentially full time with abduction pillow 36 weeks. Test protocol for comparative evaluation of protective gloves for law enforcement and corrections applications, is a comparative evaluation protocol developed by the office of law enforcement standards of the national institute of standards and technology. Slap archives mike reinold feel, move and perform better. Bankart and slap repair post operative pt protocol revised. Bankart and slap repair post operative pt protocol please contact the uwmc shoulder and elbow team with any questions. Usually most comfortable in a seated position instruct patient in various alternative sleeping positions for early, painful stages i. Pectoralis major tendon rupture is a rare shoulder injury, most commonly seen in weight lifters. This mea ns that it is very rare to have to spend the night in the hospital. Pdf etiology, diagnosis, and management of failed slap repair. Achieving the criteria of each phase should be emphasized more than the approximate duration. Aarom permitted at 4 weeks with good rom, good quality tissue at repair site and minimal pain passive rom exercises only r anges dictated by safe shoulder motion in the operating room 90 of forward flexion. Slap repair biceps tenodesis new west sports medicine. Labels that identify the preset or zone being scanned are co m mon. If patient has a concomitant injury repair such as a rotator cuff repair treatment will vary consult with surgeon.
Rehabilitation guidelines after surgery, sports medicine. Kastlemeyer test this laboratory protocol or part thereof has been provided as an example of a laboratory sop, courtesy of the illinois state police. Protect anatomic repair allow healing of repaired labrum promaarom. Slap lesion repair protocol slap lesion repair protocol this rehabilitation protocol has been developed for the patient following a slap superior labrum anterior posterior repair. Physical therapy protocol shoulder anteriorposterior. The purpose of a slap repair operation is to reattach the. Treatment will follow the defined protocol below and be carried out by physical. The tendon of the biceps muscle also attaches to the labrum in this area and may also be affected by the injury. Bankart repair protocol northeast orthopedics and sports. Arthroscopic labral repair protocoltype ii, iv, and. Uva sports medicine university of virginia school of. Bp production casing operations procedures, april 12, 2010 bp. All test samples shall be wired in a series circuit in accordance with table 1 and.
Labral repair surgery involves reanchoring or trimming the torn piece of cartilage. There is a special technique to establish a label that is associated with either a preset or a zone. The lhbt may be reattached, or may have undergone a tenodesis or tenotomy. Combined slap repair and biceps tenodesis for superior labral anteriorposterior tears article pdf available in knee surgery sports traumatology arthroscopy 2412 september 2015 with 598 reads. Rehabilitation after arthroscopic labrum repair of the shoulder slap phase 0. Bankart repair protocol bankart repair protocol this rehabilitation protocol has been developed for the patient following bankart surgical procedure for anterior shoulder instability. Th e full recovery from these procedures occurs after 69 months. Arthroscopic debridement of type i and iii slap lesions. The patient will followup monthly or as needed between 4 and 6 months postop the patient will return at 6 months postop for the final time to see the physician and the therapist.
Rehabilitation guidelines for slap lesion repair uw health. Contact ohio state sports medicine at 6142932385 if questions arise. Purpose of the abductor pillow is to keep tension off of the repair, avoid adduction. Three distinct subcategories of type ii slap lesions have been further identified by morgan et al. Continue appropriate previous exercises aarom pulley, doorway stretches through full range. You will go to the recovery room and generally will be discharged after 12 hours. Arthroscopic slap repair clinical practice guideline progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation. Surgical intervention may involve debridement or repair depending on the size of the tear, the mechanism of injury and the age of the patient. Anterior cruciate ligament functional sports asssessment. Continue sling x 4 weeks after surgery while sleeping and walking no lifting of anything heavier than a cup of coffee 8 ounces directions for physical therapist. Pdf combined slap repair and biceps tenodesis for superior. This acronym stands for superior labrum from anterior to posterior.
Arthroscopic labral repair protocol, ii, iv, and complex tears. Bankart repair protocol vanderbilt university medical center. The bankart procedure is performed to increase anterior stability of the shoulder. Arthroscopic slap repair protocol sports and orthopedic. Pectoralis major tendon repair post surgical rehabilitation. The socket portion of the joint is not naturally deep. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic assistedminiopen rotator cuff repair. Pec major repair pec major repair protocol by dr kevin murphy. Because the head of the humerus much larger than the glenoid, a soft fibrous tissue labrum called the labrum surrounds the glenoid to help deepen and stabilize the joint. No lifting more than 2 pounds with the affected arm. Postoperative rehabilitation protocol slap repair, bankart repair, or biceps tenodesis phase i. Time frames allow for optimal healing, and should be used as criteria for advancement along with a patients functional ability.
A specific rehabilitation program is dependent on the severity of the pathologyinjury and should specifically manage the healing and requirement of. Keep the abductor pillow in for the 4 weeks as well. Each patient is different and should be treated according to their tolerance in therapy. Protective phase day 1 to week 6 weeks 02 shoulder sling x 6 weeks sleep in sling x 3 weeks shoulder, elbow, and hand rom no resisted active isolated biceps. If in doubt, less is more when doing shoulder rehabilitation. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. Bankart repair rehabilitation protocol arthroscopicopen this protocol was developed for patients who have had a bankart repair.
Slap type ii repairbiceps tenodesistenotomy protocol. Arthroscopic type ii slap repair rehabilitation protocol. Domestic violence protocol definition domestic violence is a pattern of coercive behaviors that involves physical abuse or the threat of physical abuse. Some may view this as an unauthorized significant change from a previously approved protocol, while others may simply call it a new activity conducted without a protocol. The intent was that, going forward, the guidance given in the protocol would be adopted within contracts. The tracking data is from august 20, 2018 through today january 2, 2019. Protection phaseimmediate motion 0 6 weeks postop goals. Laboratory gross errors are events in the laboratory that may produce erroneous results and can be usually attributed to either analyst related errors or instrument related errors. Physical therapy standards of care brigham and womens. This rehabilitation protocol has been developed for the patient following a slap superior labrum anterior posterior repair. Once the dressing is removed on the first or second day, ice is applied for 20minute periods 34 times per day.
No active forceful bending of elbow or turning palm up please refer to physician and prescription as additional procedures may have been performed including anterior. Devinder garewal mbbs, bmedsci, fracs orth, faortha orthopaedic shoulder surgeon warringal medical centre suite 7, 214 burgundy st, heidelberg, victoria 3084 0 armclinic 0 276 254. Arthroscopic labral repair protocol type ii, iv, and complex tears. Hip labral repair protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance.
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